Parosteal lipoma is a rare and generally asymptomatic benign tumor of mature adipose tissue that is located in direct apposition to the external surface of the bone. These tumors are occasionally associated with reactive changes in the underlying bone. The reactive bone formation is generally restricted to the base of the tumor, that is, near the periosteum. We recently experienced a case of parosteal lipoma in the proximal femur, which displayed exuberant bone and cartilage formation, and this led us to a misdiagnosis of chondroblastic osteosarcoma on the initial biopsy. We report here on this case with a special emphasis on making the differential diagnosis from osteosarcoma.
Adipose Tissue ; Biopsy ; Cartilage ; Chondrocytes ; Diagnosis, Differential ; Diagnostic Errors ; Femur* ; Lipoma* ; Osteogenesis ; Osteosarcoma ; Osteosarcoma, Juxtacortical ; Periosteum

In order to clarify the genetic relationship between Koreans and Akha, Lahu native tribes around the mountain area in Northern Thailand, authors examined the metric and non-metric mophological variations of the maxillary anterior teeth. The subjects were 54 in Akha tribe (25 males, 29 female) and 114 in Lahu tribe (57 males, 57 females), and their ages were 20 to 65 (mean age 34). The prevalence of the shovel-shaped incisor in maxillary anterior teeth was 85% in Lahu tribe. Among the another non-metric variations, the prevalence of the peg lateralis was 3 cases in Akha female and 8 cases in Lahu tribe (4 males, 4 females). And the supernumernary tooth located between the right and left maxillary central incisors was observed in 2 cases, the congenital missings of the maxillary lateral incisor were in 2 cases(1 Akha, 1 Lahu tribe), and the congenital missings of the maxillary canine were in 3 cases(1 Akha, 2 Lahu tribe). The maximal mesio-distal diameters of the maxillary anterior teeth in Akha and Lahu tribes showed no discrepancy with regard to those of koreans and the dental measurements of the male were larger than the female (p<0.05). The dental measurements of the Lahu tribe were more closer to Korean than those of Akha Tribe were. Especlally, the mean mesio-distal diameter of the maxillary anterior teeth in Lahu female had no difference to Korean adult female (p<0.05). On the basis of the above results, authors thought that the anthropological similarity to Koreans was higher in Lahu than Akha tribe with respect to the dentition, but the further anthropological studies such as the height, body proportion, and finger print should be needed.
Adult ; Body Height ; Dentition ; Female ; Fingers ; Humans ; Incisor ; Male ; Population Groups* ; Prevalence ; Thailand* ; Tooth*

We carried out several anthropological measurements of the eye and nose in the Uygur living in Xinjiang Province, the Uygur autonomous region in the west China, as a part of works to investigate the anthropological traits of the Uygur. The number of sample was 214 (120 males and 94 females) in the western area and 248 (182 males and 66 females) in the eastern area of the province, all of whom were over 18 in age. The items were 13 in all·9 items regarding to the eye and 4 to the nose. The measurements were executed using image analyzer on the photographs taken from front, 45° left lateral, and 90° left lateral side. The western and eastern areas were regarded as experimental groups and the measured values were compared with each other. In addition, the values were also compared to those of the Korean already published. In males, the eastern people showed somewhat wider nasal breadth (ala-ala) and larger corneal diameter. There was also a tendency for the palpabral fissure to be more inclined, and for the interectocanthal distance to be larger in eastern males than those in the west. Regarding females, the easterner revealed wider intercanthal distance, and shorter and more inclined palpabral fissure than in the westerner. The corneal diameter was larger in the easterner as was the ease in males. Compared with the previously published Korean measurements, the easterner showed more approximated values in almost all items than the westerner, regardless of the sex.
China* ; Female ; Humans ; Male ; Nose* ; Photogrammetry

Xanthogranulomatous cholecystitis is an extremely rare benign inflammatory disease of the gall bladder characterized by yellowish focal nodular appearance with tissue necrosis and lipid-containing histiocyte (xanthomacell). Recently, we experienced a case of xanthogranulomatous cholecystitis. A 71-year old woman was admitted with the complaints of RUQ pain for 1 month. On abdominal ultrasound examination, there were diffuse gallbladder wall thickening, echogenic nodule with acoustic shadow, the calculous cholecystiti and the gall badder cancer were strongly suspected and the operation was performed. At operation the gall bladder was marked enlarged and wall thickening with two brownish, oval shaped, smooth surfaced stones. The specimen was revealed a xanthogranulomatous cholecystitis by the pathology.
Acoustics ; Aged ; Cholecystitis* ; Female ; Gallbladder ; Histiocytes ; Humans ; Necrosis ; Pathology ; Ultrasonography ; Urinary Bladder

Stature and four cephalometric measurements (head lengh, head breadth, bizygomatic diameter, bigonial diameter) were examined from samples of 461 Uygur in Xinjiang, China. Comparisons of head and facial morphology with geographically adjacent tribes were carried out to characterize Uygur population and to understand racial hybridity. Most of Uygur were hyperbrachycephalic as expressed by cephalic index and had larger lateral facial and smaller antero-posterior dimensions than Western Caucasians. The values of metric traits showed differences between East and West among Uygur populations. The results support the genetic diversity that seems to be caused by genetic hybridity and unequal growth between East and West in Uygur.
China* ; Genetic Variation ; Head* ; Humans ; Population Groups

Since the non-metric traits of the human teeth are various according to the genetic or environmental factors, these dental traits are significantly used in distinguishing the different racial groups. The purpose of this study was to evaluate the non-metric dental traits of Koreans among the various races on the viewpoints of the physical anthropology. The materials of this study were conducted with incisors, canine, and molars collected from 168 Korean cadavers and the upper and lower dental models of 160 Koreans. We evaluated the 15 criteria of the non-metric dental traits of Korean teeth. The results were as follows. 1. Most of the Koreans' maxillary incisors were revealed to the shovel-shaped incisor, whereas, none of the mandibular incisors showed the shoveling. The double shoveling of the maxillary central incisors and the lateral incisors were observed in 31.2%, 7.6%, respectively. The presence of the shoveling of Korean maxillary incisors was the most compared to the other racial groups. 2. The peg lateralis were only seen in the maxillary lateral incisor by 10.2%. 3. It showed a relatively low rate in the presence of the distal accessory ridge of the canine and it was more commonly seen in the maxillary canine than in the manibular canine. 4. It was most common that the maxillary molar had 4 cusps (maxillary 1st molar: 96%, maxillary 2nd molar: 81.7%). On the other hand, mandibular 1st molars having 5 cusps were most common in 81.1% and mandibular 2nd molar having 4 cusps was most common in 52%. 5. The cusp-groove patterns of the maxillary molar occlusal surface were classified into 4 categories. Among these categories, "4" patterns were most in the maxillary 1st molars and "4-" patterns were most in the mandibular 2nd molars. 6. Carabelli's trait was mostly observed in the maxillary 1st molar and "high cone patterns" among the Carabelli's traits were shown in 9.9% Korean males. The presence of the Carabelli's trait was much lower than the Caucasian. 7. The cusp-groove patterns of the mandibular molar were classified into 4 categories. The presences of "Y5" pattern (45.6%) and "+5" pattern (51.6%) were equally observed in the mandibular 1st molars, while the "+" patterns ("+4" pattern : 46.3%, "+5" pattern : 40.0%) were most in the mandibular 2nd molars. From these results, the presence of "Y5" patterns in the Korean mandibular molars were lower, but it had a tendency that presence of "+5"patterns was higher than the other races. 8. The cases in which "cusp 6" was observed in the mandibular 1st molar and 2nd molar were 5.3%, 5.1%, respectively. And the presences of "cusp 7" were observed in the mandibular 1st molar and 2nd molar by 7.5%, 4.1%, respectively.
Anthropology, Physical ; Cadaver ; Continental Population Groups ; Dental Models ; Hand ; Humans ; Incisor ; Male ; Molar ; Tooth

Mandible is the biggest and the hardest facial bone and its shape is found well-remained in the fossil and forensic research area. Therefore it is of significance in physical anthropology and it has been used to distinguish the different ethnic groups as well as the sex. The researchers took 102 mandibles in Korean of the known sex and examined the physical anthropologic characteristics that exist among the Korean males and females as well as the different ethnic groups. Through examining 13 criteria that include the shape of the chin and the shape of mental spine the following results were achieved. Out of the 13 non-metric criteria of the examined mandibles, Concerning the sexual dimorphism, the most distinguished criteria was the contour of the mandibular lower border. In males, 68.1% showed the "rocker form", on the other hand in females, the "straight form" was more general (82.0%). In addition, the shape also differed in mental region. In males the shape of the chin was bilobate or square form generally (91.7%), while females' mandible wasn't bilobate form, but square (53.6%) and pointed form (46.4%). Beside this, there was no differences between the male and female. We compared in presence of mylohyoid canal in Korean with the other ethnic groups by non-metric traits. The mylohyoid canal was relatively low by 5% among the Asians including the Koreans and relatively high by 10.0% among the Whites and over 15.0% among the Blacks.
African Continental Ancestry Group ; Anthropology, Physical ; Asian Continental Ancestry Group ; Chin ; Ethnic Groups ; Facial Bones ; Female ; Fossils ; Hand ; Humans ; Male ; Mandible* ; Sex Differentiation ; Spine

BACKGROUND: To help medical students learn anatomy effectively in limited hours, a regional anatomy book enhancing students' memorization was developed.METHODS: Only anatomical terms essential for basic cadaver dissection are included along with schematic figures which enable memorization of complicated anatomical structures. Learning comics and comic strips that depict anatomy mnemonics and jokes were appended and sentences were written to be comfortably readable. The electronic book titled “Visually Memorable Regional Anatomy” has been distributed without payment or registration. With the help of 246 volunteer students from three Korean medical schools, the book's learning effects were evaluated.RESULTS: These students' book reading led to increase in their anatomy scores, including written examination scores and tag examination scores. It was an encouraging result that almost 20% of students spontaneously read the book no matter who presented their lecture or examination. A webpage version of the book was visited by thousands of users.CONCLUSION: The book with unique features may suggest a new perspective in the field of anatomy learning. After having acquaintance with essential structures from reading the book, students are able to and willing to study more from other resources.
Anatomy, Regional ; Books, Illustrated ; Cadaver ; Education ; Humans ; Internet ; Learning ; Schools, Medical ; Students, Medical ; Volunteers

BACKGROUND: To help medical students learn anatomy effectively in limited hours, a regional anatomy book enhancing students' memorization was developed. METHODS: Only anatomical terms essential for basic cadaver dissection are included along with schematic figures which enable memorization of complicated anatomical structures. Learning comics and comic strips that depict anatomy mnemonics and jokes were appended and sentences were written to be comfortably readable. The electronic book titled “Visually Memorable Regional Anatomy” has been distributed without payment or registration. With the help of 246 volunteer students from three Korean medical schools, the book's learning effects were evaluated. RESULTS: These students' book reading led to increase in their anatomy scores, including written examination scores and tag examination scores. It was an encouraging result that almost 20% of students spontaneously read the book no matter who presented their lecture or examination. A webpage version of the book was visited by thousands of users. CONCLUSION The book with unique features may suggest a new perspective in the field of anatomy learning. After having acquaintance with essential structures from reading the book, students are able to and willing to study more from other resources.

BACKGROUND: Ezrin has been reported to be involved in the metastasis of solid tumors in both an animal model and clinical trials. However, questions remains as to whether an ezrin expression is an independent predictor of the event-free survival of liposarcoma patients. METHODS: We analyzed 85 liposarcoma patients without metastasis at the time of presentation. We performed immunohistochemistry with anti-ezrin antibody, and we analyzed the association of an ezrin expression with the clinicopathological variables and event-free survival. RESULTS: Twenty-nine patients (34.1%) showed an ezrin expression. Among the 30 low-grade liposarcoma patients, only one patient showed ezrin positivity. The patients who had an ezrin expression were found to be at a significantly increased risk for metastasis compared with the patients who had no ezrin expression (risk ratio: 3.4, 95% confidence interval: 1.3-9.1). The 10-year metastasis-free survival rate was 26.9% for the patients with an ezrin expression and 86.7% for the patients without an ezrin expression. The ezrin expression rate increased with an advanced tumor grade and stage. CONCLUSION: An ezrin expression is an independent predictor of distant metastasis for liposarcoma. Thus, ezrin has the potential to provide additional prognostic information and to be a novel target for the development of new adjuvant therapies for treating the patients who suffer from liposarcoma.
Animals ; Neoplasm Metastasis